Diagnosis

Periodontal disease is diagnosed by your dentist or dental hygienist during a periodontal examination.  This type of exam should always be part of your regular dental check-up.

A periodontal probe (small dental instrument) is gently used to measure the sulcus (pocket or space) between the tooth and the gums.  The depth of a healthy sulcus measures three millimeters or less and does not bleed.  The periodontal probe helps indicate if pockets are deeper than three millimeters.  As periodontal disease progresses, the pockets usually get deeper.

Your dentist or hygienist will use pocket depths, amount of bleeding, inflammation, tooth mobility, etc., to make a diagnosis that will fall into a category below:

Gingivitis

Gingivitis is the first stage of periodontal disease.  Plaque and its toxin by-products irritate the gums, making them tender, inflamed, and likely to bleed.

Periodontitis

Plaque hardens into calculus (tartar).  As calculus and plaque continue to build up, the gums begin to recede from the teeth.  Deeper pockets form between the gums and teeth and become filled with bacteria and pus.  The gums become very irritated, inflamed, and bleed easily.  Slight to moderate bone loss may be present.

Advanced Periodontitis

The teeth lose more support as the gums, bone, and periodontal ligament continue to be destroyed.  Unless treated, the affected teeth will become very loose and may be lost.  Generalized moderate to severe bone loss may be present.

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Testimonials

I had a problem with an implant put in by another dentist a year or so earlier. I met with Dr. Shelton and he was extremely helpful in evaluating the problem and helping me correct it. I found him to be very patient, kind, knowledgable and skilled. Also, he was not rushed and he took the time to listen and better understand and evaluate the issue. I greatly appreciate him for the way he helped me with the dental/implant problem I was having. Based on my experience with him, I highly recommend Dr. Steven Shelton!

Steven L.

Wow, wow, wow, wow! I have never been to a periodontist that was so friendly, kind, down to earth and relatable. Dr Shelton has so much care, concern and passion for his patience, he truly sees you get the success and work you dream of. A smile is worth a thousand words and we all haven’t been blessed with such a thing, so knowing he has the same goals in mind for me is what makes the journey and price worth every minute. Thank you Dr Shelton, you’re a hero in my book!!
I love his staff too, they’re kind and helpful and do all they can to see you have good care as well.

J.W.

Oral surgery isn't something anyone looks forward to but my experience with the very capable Dr. Shelton and his wonderful staff was the exception. Every step of the procedure he undertakes is clearly explained and he listens to his patient's questions and concerns. The facility is very clean, tidy and orderly. At the time of your appointment you are seen without much delay which means that they don't overbook appointments

I am very pleased with the treatment I received and recommend Dr. Shelton & staff without any reservations.

Larry S.

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